Our operating costs vary depending upon energy prices. A variable energy surcharge will be included as a separate line item on each invoice and will only apply once per billing period regardless of the number of deliveries. The surcharge is based on the Monthly U.S. Average On-Road Diesel Price as published by the U.S. Department of Energy, Energy Information Administration on its website at tonto.eia.doe.gov/oog/info/wohdp/diesel.asp. Updated monthly, the Energy Surcharge appears as a separate line item on each statement. We reserve the right to apply the surcharge in our sole discretion. Please note that we do not establish the Monthly U.S. Average On-Road Diesel Price. To learn more about recent energy price developments, please contact the Department of Energy at (202) 586-6966 or go to the U.S. Department of Energy website located at doe.gov/engine/content.do.

A bottle deposit is a fee charged for every 3 or 5-gallon bottle delivered to you. A bottle deposit is refundable and will be credited to your account as each empty bottle is returned, either upon each delivery or upon the end of your Service Agreement.

How many people are in your household?

Adults

Children

How many glasses of water does each person drink per day?

Will you use the water to prepare other beverages?

Yes

No

Will you use the water for cooking?

Yes

No

Will you use the water for your pets?

Yes

No

Bottles Per Month: Gallons Per Month:

Artesian water is water that comes from a well tapping an underground layer of rock or sand (called a confined aquifer) where the water level is higher than the top of the aquifer.

Great tasting Crystal Fresh® water starts with water that is purified though reverse osmosis, distillation, deionization or other purification processes. Minerals are then added for great taste.

Fluoridated water is water with fluoride added at a level that meets the requirements established by the U.S. Food and Drug Administration and the recommendations of the American Dental Association. Consult your physician or dental professional if using another fluoridated product.

Our ceramic crock water cooler dispenses water at room temperature. It is made of durable solid porcelain with a lead-free, non-toxic glaze to help maintain water purity and only requires a square foot of floor space.

Our water cooler features and options include:

Room temperature and cold spigots dispensing water at room temperature and chilled

Hot and cold spigots dispensing hot water between 160 and 190 degrees F and cold water below 50 degrees F

A one-time purchase means you will receive and be charged for the water (and other products) you order only one time (minimum quantity required). If you want to receive and be charged for water (and other products)each billing period, select "recurring".

A recurring order means you will receive and be charged for the quantity of water (and other products) you choose (now) for each billing period of your contract (until you contact us to cancel the delivery of select products). If you want to receive and be charged for water (and other products) one time only, select "1 Time Purchase"(not available in all areas).